Medicare is a federal health insurance program that primarily provides health insurance for Americans aged 65 and older. Establish in 1965, the program expanded in 1972 to cover younger Americans who have a long term disability. Medicare consists of four different parts: Part A covers inpatient hospital stays, Part B covers physician visits, outpatient services and preventative care, Part C covers the Medicare Advantage program, and Part 4 covers outpatient prescription drugs through contracted plans. Medicare reimbursement rates often play a role in the reimbursement rates that private healthcare plans offer.
The Center for Medicare and Medicaid Innovation consistently works with policymakers, providers and other key stakeholders to construct and test alternative payment and delivery models. Medicare has tested a variety of new models, most of which focus on shifting the emphasis to quality care and provide incentives for hospitals and providers to lower spending and decrease cost to patients, while providing higher quality care.
Title | Source | Date |
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CMS wants primary-care docs to take on financial risk | Modern Healthcare | November 25, 2019 |
CMS amps up value-based payments in 2018 as other quality issues fall by the wayside | Modern Healthcare | December 26, 2018 |
CMS Touts Savings, Quality Under Primary-Care Initiative | Modern Healthcare | October 17, 2016 |
OhioHealth's plan to provide high-touch primary care for seniors | Modern Healthcare | January 1, 2019 |
Obama says he's ready to sign Medicare doctor payment fix | Modern Healthcare | March 25, 2015 |
Future of dual eligible demonstrations questioned due to low enrollment | Modern Healthcare | April 21, 2015 |
CMS Proposes Expanding Diabetes-Prevention Model | Modern Healthcare | July 7, 2016 |
For their first year, ACOs see varied scores in quality measures | Modern Healthcare | September 26, 2014 |
BREAKING: Slavitt Suggests MACRA Could Be Delayed | Modern Healthcare | July 13, 2016 |
BREAKING: House votes for permanent doc fix, bill goes to Senate | Modern Healthcare | March 26, 2015 |